Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME111946 | DE |
N | 2080P0210X | Pediatric Nephrologist | 01062039 | IN |
Y | 2080P0210X | Pediatric Nephrologist | ME111946 | FL |
NPI | 1477595205 |
---|---|
Provider Name | Christine A. Bellew |
First Address | Rockland, DE 19732-0191 |
Second Address | Orlando, FL 32827-7402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 26/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200820210 | (05) | IN |
I63952 | (02) |